| NPI | 1255392478 |
|---|---|
| Former Name | ANDREA MARQUES HADDAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN15818) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL 15818) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-11-20 |